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Thread: how to code?

  1. #1
    Join Date
    Apr 2007
    Stuart, Florida

    Question how to code? condition + symptom?

    AAPC: Back to School
    Ok, I just wanted to be sure about something. I have a doctor that writes "Myelodysplastic syndrome with anemia" as, say, DX #1. Then DX #2 will be "Anemia secondary to Myelodysplastic syndrome".

    I was under the impression that anemia is a SYMPTOM of Myelodysplastic syndrome, thus eliminating the need to code the anemia since you're not supposed to code the symptom of a disease when the disease has been confirmed and coded. ie 250.00 + 790.29
    He seems so intent on grinding that anemia DX in though so it's made me unsure. Should I be coding anemia in chronic illness, 285.29, along with the code for MDS?

    Thanks in advance!
    Last edited by ohn0disaster; 01-05-2011 at 08:12 AM.
    Vanessa Mier, CPC

  2. #2
    Join Date
    Apr 2007
    Stuart, Florida


    Anyone have an opinion on this? Anything that could point me in the right direction, maybe?
    Vanessa Mier, CPC

  3. #3


    I would think you would only code Myelodysplastic syndrome. but you could take other peoples suggestion i might be wrong.

  4. #4


    When the physician is writing a second dx such as "anemia secondary to myelodysplastic syndrome", he is describing a manifestation of the disease and therefore a seperate code for the anemia is needed. Without a specified type of anemia, I would code 238.75 then 285.22 for the anemia because myelodysplastic syndrome is a neoplastic disease.

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